Disc/4 P

Endocrine Function:

C.B. is a significantly overweight, 48-year-old mother from the Winnebpast Indian tribe who had tall lineage sugar and cholesterol levels three years past still did referable attributable attributable attributable ensue up with a clinical indication work-up. She had participated in the state’s annual sanity screening program and referable attributable attributableiced that her fasting lineage sugar was 141 and her cholesterol was 225. However, she felt “perfectly refined at the term” and could referable attributable attributable attributable give any further medications. Except control a enumerate of “female transmitted,” she has felt refined until of-late. Today, she presents to the Indian Hospital open practitioner whining that her left sole has been injudicious and discourage control almost three weeks and that the sole is intricate to flex. She denies any other injudiciousness or discourageness at this term. However, she reports that she has been very thirsty of-late and gets up further repeatedly at obscurity to urinate. She has attributed these symptoms to the very-much zealous atmosphere and drinking further water to suppress hydrated. She has gained a sum of 65 pounds gone her developed pregnancy 14 years past, 15 pounds in the developed 6 months peculiar.

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